| NPI | 1720118763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 062397) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 32401) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-21 |